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diagnosis differential management causes nephrology high algorithm cardiology pharmacology afib atrial cardiogenic checklist comparison druginduced endocrinology fibrillation hfref hyperthyroidism hypokalemia
Mechanisms of Drug-Induced Hyperkalemia • Direct renin inhibitor (Aliskiren) • Renin release inhibition (NSAIDs, Beta-Blockers)
of Drug-Induced Hyperkalemia ... inhibition (NSAIDs, Beta-Blockers ... MunerMohamed1 #hyperkalemia ... #pharmacology #potassium ... #medications #druginduced
Heart Failure (HFrEF) Treatment - GDMT for stage C For patients with Heart Failure with REDUCED
Failure (HFrEF) Treatment ... and an evidenced beta-blocker ... tolerated ACEI/ARB + Beta-Blocker ... /ambcarerx #CHF ... #sCHF #HeartFailure
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• Recent IV potassium ... • Beta blockers ... cell membrane - Beta ... Medications 2. ... Food - Avoid in CRF
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• Recent IV potassium ... • Beta blockers ... cell membrane - Beta ... Medications 2. ... Food - Avoid in CRF
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Hypokalemia - Differential ... Alkalosis • ↑ beta ... anemia) • G-CSF ... Thyrotoxicosis Medications ... nephrology #low #potassium
Atrial Fibrillation RVR - Medications Diltiazem • Preferred in patients with chronic lung such as Asthma and
Fibrillation RVR - Medications ... decompensated CHF ... rate control when beta-blockers ... conjunction with beta-blockers ... #management #treatment
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... bradycardia, AV blocks ... Combo of insulin + beta-agonist ... glucose <100 • Beta-agonist ... Remove potassium
Causes of Hyperkalemia - Differential Diagnosis Framework • Cellular Shift: - Exercise
Causes of Hyperkalemia ... hyperosmolality - Medications ... : beta blockers, ... tacrolimus - Hyperkalemic ... Diagnosis #Causes #potassium
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Revascularization, treatment ... Initiation of beta-blocker ... failure - Any beta-blocker ... #Checklist #CHF ... #Cardiogenic #HeartFailure
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
psychosis - CHF ... ↑ T3 - Mild hypercalcemia ... ↑ AST/ALT • Treatment ... : - Beta blocker ... : • Beta blockers
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